"It's in the liver gate. He's in the liver gate!" Qin Lao's voice was a little hoarse. was so excited, the liver gate let Zhang Fan dissect cleanly.

The surgery looked very comfortable, without any extra steps or hesitation.

Step by step, very clear. There are a lot of people who understand it in the venue.

"This kid's basic skills are very solid, and his kung fu is really powerful. When I was his age, I was much worse than him, and even now, I don't think I can do as clean as this kid in this kind of operation!" Zhang Fan's senior brother said to Zhang Fan's fourth senior brother.

"Well, his surgery, you found no, not a trace of extra steps. That's pretty impressive. Not all human structures are the same. But he doesn't have to think about it, the knife is coherent, it's amazing!" the fourth senior brother nodded at the big screen and said.

Wu Lao, who was sitting in the front row, quietly watched Zhang Fan's operation without saying a word, but his eyes were staring at Zhang Fan's hand.

"Strong, really strong, where did this guy come from? Why have you never heard of him before?"

Yaxiang's director of the liver and gallbladder asked the director of Sanchuan Xihua in surprise. They are all members of the Standing Committee of the Hepatobiliary Surgery Association.

"I don't know, it seems that he really has the ability, and he is not a character who specializes in walking. ”

"It is impossible to ask Lu Lao to walk. "These are a few people who understand surgery.

At this time, the masters all recognized Zhang Fan, although the operation had not yet entered the most important place, the dissection of Zhang Fan's hand could already amaze them.

And some doctors in the middle who can't understand are not so shocked, especially the doctors who are brought to the world by the master or director.

Confused, "I think that's it, but his surgical instruments are pretty beautiful." I don't know what brand it is. You know no, I want to buy a set too. ”

"Well, it's pretty good, but his hemostasis is still quite good, and I think my practice is similar to that of him. ”

Half a bottle talks a lot, and the quality of being unconvinced is not bad. Only if you are not convinced can you be motivated.

The major equipment manufacturers in the last row are tormented at this time. See, I can't understand, I listen, I don't understand. I know that the surgery is very good.

Because Qin Lao is excited! Everyone is not stupid. I really don't dare to ask or say!

"Xiao Wang, ask if this person has any hobbies, such as tobacco, wine and tea. ”

"Okay!"

Zhang Fan's system gave Zhang Fan a platform to fully practice. Although the orthopedic department was opened earlier than the general one. But in terms of the degree of understanding of the profession, the liver and gallbladder are currently Zhang Fan's strongest.

Because in the discipline of liver and gallbladder, Zhang Fan has sublimated and has made a breakthrough, to put it in layman's terms, it is a quantitative change to a qualitative change.

The liver has been thought through by Zhang Fan in his mind, and it can be said that in terms of liver and gallbladder, Zhang Fan has been able to create his own things with ease.

If you look at Jianghu Kung Fu, although it has not reached the level of undefeated, it has almost reached the level of wind and clarity by relying on dignified and upright training.

Several major organs of the body are very weird, and those who want to play with blood vessels do not play with blood vessels, but play with muscles, such as the heart.

To play with muscles do not play with muscles, play with mucous membranes, such as the stomach. The most important thing in the stomach tissue is actually the hydrocarbon mucosa of the stomach, without this mucosa, no matter how thick the muscle is, it can't withstand strong acid.

And the liver, which was supposed to play secretion and biochemistry, but it manipulated the blood vessels and picked up the vasculature, and you played martial arts and played unreasonable.

The venous return of the human digestive tract all passes through the liver, from the esophagus to the chrysanthemum.

This place is more important than the thoroughfare of the nine provinces. Once the portal veins of the liver are not clear, the veins of the upper and lower digestive tracts begin to block.

In layman's terms, the upper gastrointestinal tract is above the duodenum and stomach, and the lower gastrointestinal tract is below.

After the veins of the upper and lower digestive tract are blocked, they will borrow the channel and not go to the liver, not to mention the diseases that arise here, but to talk about the changes in blood vessels.

The veins that were originally hidden in the digestive tract have become thicker and thinner, leaking out like blue earthworms, not to mention, lying on the esophagus and lying on the surface of the intestines.

The food that enters the lower gastrointestinal tract is a chyle-like paste, and it doesn't matter, unless you take the valley road.

The upper gastrointestinal tract is not good, once the portal system of the liver is blocked, the veins of the esophagus are bombs.

I ate the biscuit, but I didn't chew it, but when I gently cut it through the esophagus, the already very thin vein was cut.

The patient then vomits blood in large gulps. If you vomit blood, you can vomit death.

The usual treatment is ligation, which is done under a gastroscopy. And what Zhang Fan is doing now is to make the blocked veins unblocked.

Although it cannot completely cure the underlying disease, it can at least delay the life of the patient.

Sometimes it seems like living one more day, and living one more year doesn't seem to work. In fact, this is important for patients and families.

"Knife!" The dissected liver vasculature is clearly displayed on the big screen.

When Zhang Fan picked up the scalpel, the audience was silent. Even Qin Lao, who was doing the commentary, stopped talking.

The varicose vasculature fluctuations seem to be visible. "Smack!" Zhang Fan took the cold-glowing scalpel steadily.

"Separate the arteries!" and prepare the microscope. ”

"Yes!"

After ligation, after the distal ligation, Zhang Fan went under the knife without a trace of hesitation, and there was no way to regret this knife.

God will not let the blood vessels of the mouth open, let the doctor never.

If the borrowing is not successful, the patient will not even be able to get off the operating table. The venue was silent, only the sound of breathing.

When the scalpel cuts through it, a little dark red blood remaining in the blood vessel gently oozes out, like a rubber tube mouth, and under the microscope, the vein is enlarged.

By the way, the vasculature of the portal system was directly connected to the inferior vena cava by Zhang Fan across the hepatic portal artery.

When Zhang Fan clamped the vena cava with vascular forceps, the people who understood it let out a sound: hiss!

Especially Qin Lao, with the blessing of the megaphone, this cold breath is extremely loud and elegant.

"Damn! He's too bold. Direct movement of the inferior vena cava. Oh my God! If you're not careful, you'll be sick. ”

Although some ordinary doctors can't understand surgery, they still understand the dangers of surgery at this time.

"Don't be noisy!" said the other doctor.

In layman's terms, blood vessels are divided into three layers, outer wear, muscles, and underwear. Zhang Fan relied on his super steady hands to first connect the coat of the hepatic portal vein and the coat of the inferior vena cava, leaving a small opening.

"Buck!"

"Yes!"

"Blood pressure is over!" the anesthesiologist said loudly to report the patient's condition.

At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.

"Click!", there was no obvious bleeding in the whole operation, and at this time, bleeding was done.

It bubbled up like a spring. Hula came out, and all the doctors in the audience couldn't help but stand upright and clenched their hands.

No matter how skillful this kind of surgery is, there is a huge risk that one will die of hemorrhage if one is not careful.

The blood vessels magnified by the microscope are like a bursting dam, and the blood roars out, and the magnified picture looks even more terrifying.

"Hang up! Hang up! This man is hopeless!" muttered some ordinary doctors staring at the big screen.

In the operating room, doctors and nurses are skillful and stable. Hurry and not panic.

When the blood spurted out, Zhang Fan moved, and the ophthalmic forceps flew in his hand. In one or two clicks, the muscles of the blood vessels were visibly sutured together.

One stitch or two stitches, the dam closes, and the blood stops.

"Boost~!" When Zhang Fan withdrew the pliers, the words also came out of his mouth without hesitation at all.

As his blood pressure slowly increased, Zhang Fan began to suture the outer garment of the blood vessels.

"Beautiful!" When the blood pressure rose to normal, there was not a trace of bleeding from the blood vessel that was sutured and borrowed.

Elder Qin shouted loudly, and the old man's face turned red.

"Beautiful! Textbook-like operation, even more beautiful than textbooks.

Although this type of surgery is not widely used in liver disease, this idea and technique are very valuable. ”

Qin Lao said as if he was drunk, with a hint of regret or perhaps a hint of aftertaste.

"This kid is too bold. At this time, Wu Lao said to Lu Lao with a smile.

Without waiting for Lu Lao to speak, Wu Lao said again: "However, in this way, I am even more looking forward to his operation in the afternoon." See if he can enter the middle lobe of the liver in a dignified manner. ”

"Hehe!" Lu Lao smiled very comfortably with a hint of pride and satisfaction.

The eyes of the master brother are higher than the younger generation, even if they are of this generation, there are few who can enter the eyes of the master brother.

Zhang Fan can make his senior brother say that he is looking forward to it, it's amazing!

Qin Lao, continuing to explain the operation, when the blood pressure rose, the borrowed blood vessels were as if they had grown on the inferior vena cava, and there was no trace of bleeding.

"It's useless, I'm afraid this patient will have to do dialysis every two days! It is estimated that he will practice suturing pig blood vessels every day!"

A frontier doctor said with a little envy and hatred, and his voice was a little louder, but as a result, all he got was looking at SB!~

People are like this, if Zhang Fan is an expert in the capital, it is estimated that no one will say this, and it is estimated that it is all praise.

But who made him a doctor in a grassroots hospital?

The road to medicine is smooth

The road to medicine is smooth